Individual
JACLYN PERDZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
(216) 361-6141
(216) 361-0766
Mailing address
172 COLONIAL DR, PAINESVILLE, OH 44077-3683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 4280
OH
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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